Pulse oximetry in Nigeria AA Bakare HR Graham AG Falade 12122018 4th WHO GLOBAL FORUM ON MEDICAL DEVICES Disclosure Funding Bill and Melinda Gates Foundation Conflict of Interest None 12122018 ID: 767347
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Pulse oximetry in Nigeria A.A BakareH.R GrahamA.G Falade 12/12/2018 4th WHO GLOBAL FORUM ON MEDICAL DEVICES
Disclosure Funding: Bill and Melinda Gates FoundationConflict of Interest: None 12/12/2018 4th WHO GLOBAL FORUM ON MEDICAL DEVICES
Introduction Oxygen is life. It is critical to patients survivalPulse oximetryA simple device that has been in existence for about 2 decades New to many health workers in low resource settings Introducing pulse oximetry and oxygen system may be challenging in real world setting, most especially in developing countries 12/12/2018 4th WHO GLOBAL FORUM ON MEDICAL DEVICES
Oxygen equipment Oxygen concentrators Flow meter Reliable power supply Oxygen tubing and nasal prongs Pulse oximetry, paediatric sensors Protocols for use of oxygen Training Maintenance and spare parts Oxygen analyser (flow, %) Recording and monitoring 12/12/2018 4th WHO GLOBAL FORUM ON MEDICAL DEVICES
12/12/2018 4th WHO GLOBAL FORUM ON MEDICAL DEVICES
Pulse oximetry in Nigeria Perspectives from nurses/doctors Perspectives from caregivers 12/12/2018 4th WHO GLOBAL FORUM ON MEDICAL DEVICES
Pulse oximetry adoption 12 secondary-level facilities in southwest Nigeria 12/12/2018 4th WHO GLOBAL FORUM ON MEDICAL DEVICES
Our approaches Stakeholders identificationAdministrators, accountants, head nurses Vision sharingPromotion of local ownershipTraining (Practical)Supportive supervision and feedback 12/12/2018 4th WHO GLOBAL FORUM ON MEDICAL DEVICES
Pulse oximetry training Communicates ‘why’ learners should change practice, not just ‘what’ they should do, and articulates this as a shared vision that learners can ‘own’. Connects new knowledge and practices with existing knowledge and practices.Is hands-on and enhances problem-solving abilities so that learners can understand the real-world application 12/12/2018 4th WHO GLOBAL FORUM ON MEDICAL DEVICES
Pulse oximetry training Includes practical application for learners to apply newly acquired knowledge, including ongoing support to re-enforce learning and support the gradual process of change.Involves clinical leaders who will have ongoing influence through supervision, recognising their role, expertise, and relationships with other staff. Builds team-work through joint learning and problem-solving with colleagues. 12/12/2018 4th WHO GLOBAL FORUM ON MEDICAL DEVICES
Sustainable financing for pulse oximetry and oxygen services Every patient pays a tokenCharge is facility dependentPromote pulse oximetry serviceRecord keeping by facility nurses 12/12/2018 4th WHO GLOBAL FORUM ON MEDICAL DEVICES
Acknowledgements BMGFUniversity College Hospital, Ibadan, Nigeria University of Melbourne, Melbourne, AustraliaUniversity of Ibadan, Ibadan, NigeriaClinton Health Access Initiative Nigeria 12/12/2018 4th WHO GLOBAL FORUM ON MEDICAL DEVICES